# GREAT LAKES FOOT & ANKLE INSTITUTE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREAT LAKES FOOT & ANKLE INSTITUTE PLLC
- **Other names:** Great Lakes Foot and Ankle an Anatomic Pathology Laboratory, GREAT LAKES FOOT & ANKLE INSTITUTE PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417620170
- **Legal business name:** GREAT LAKES FOOT & ANKLE INSTITUTE PLLC
- **Authorized official:** STEPHEN FRASCONE DPM (OWNER)
- **Authorized official phone:** (586) 725-3444

## Contact information

- **Practice address:** 32743 23 MILE RD STE 110, CHESTERFIELD, MI 48047-2082
- **Practice address phone:** (586) 725-3444
- **Practice address fax:** (586) 725-0984
- **Mailing address:** 9400 S CICERO AVE STE 100, OAK LAWN, IL 60453-2536
- **Mailing address phone:** (708) 424-3201
- **Mailing address fax:** (708) 424-5001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0101X | Anatomic Pathology Physician | — | NULL | — |
| 207ZP0101X | Anatomic Pathology Physician | — | — | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | NULL | — |
| 207ZP0105X | Clinical Pathology/Laboratory Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 07/28/2021
- **Last updated:** 05/17/2025